{ "resourceType" : "Bundle", "id" : "stroke-bundle-ncva-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeCaseManagementBundle"] }, "identifier" : { "system" : "http://www.vghks.gov.tw/stroke-case-management-serial", "value" : "CM-EXAMPLE-0001" }, "type" : "collection", "timestamp" : "2025-02-01T10:00:00+08:00", "entry" : [{ "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Patient/stroke-patient-example", "resource" : { "resourceType" : "Patient", "id" : "stroke-patient-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient stroke-patient-example

Profile: 腦中風－病人基本資料

Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

Active:true
Links:
" }, "identifier" : [{ "use" : "official", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR", "display" : "Medical record number" }] }, "system" : "http://www.vghks.gov.tw/patient-id", "value" : "EX00000001", "assigner" : { "reference" : "Organization/stroke-organization-vghks" } }], "active" : true, "gender" : "male", "birthDate" : "1950-01", "managingOrganization" : { "reference" : "Organization/stroke-organization-vghks" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Organization/stroke-organization-vghks", "resource" : { "resourceType" : "Organization", "id" : "stroke-organization-vghks", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization stroke-organization-vghks

Profile: 腦中風－醫療院所

高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0\u00a0(use:\u00a0usual))

Active:true
Type:Healthcare Provider
" }, "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "XX", "display" : "Organization identifier" }] }, "system" : "http://www.vghks.gov.tw/stroke-hospital-code", "value" : "1A0" }], "active" : true, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "prov", "display" : "Healthcare Provider" }] }], "name" : "高雄榮民總醫院" } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Encounter/stroke-encounter-er-example", "resource" : { "resourceType" : "Encounter", "id" : "stroke-encounter-er-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter stroke-encounter-er-example

Profile: 腦中風－就醫事件

status: Finished

class: ActCode: EMER (emergency)

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

period: 2025-01-15 08:30:00+0800 --> (ongoing)

serviceProvider: 高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0\u00a0(use:\u00a0usual))

" }, "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "EMER", "display" : "emergency" }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "period" : { "start" : "2025-01-15T08:30:00+08:00" }, "serviceProvider" : { "reference" : "Organization/stroke-organization-vghks" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Encounter/stroke-encounter-example", "resource" : { "resourceType" : "Encounter", "id" : "stroke-encounter-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter stroke-encounter-example

Profile: 腦中風－就醫事件

status: Finished

class: ActCode: IMP (inpatient encounter)

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

period: 2025-01-15 --> 2025-01-28

Hospitalizations

-AdmitSourceDischargeDisposition
*From accident/emergency department出院

serviceProvider: 高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0\u00a0(use:\u00a0usual))

" }, "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "IMP", "display" : "inpatient encounter" }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "period" : { "start" : "2025-01-15", "end" : "2025-01-28" }, "hospitalization" : { "admitSource" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/admit-source", "code" : "emd", "display" : "From accident/emergency department" }] }, "dischargeDisposition" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/discharge-status", "code" : "3", "display" : "出院" }] } }, "serviceProvider" : { "reference" : "Organization/stroke-organization-vghks" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/QuestionnaireResponse/stroke-registry-response-ncva-example", "resource" : { "resourceType" : "QuestionnaireResponse", "id" : "stroke-registry-response-ncva-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRegistryResponse"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: QuestionnaireResponse stroke-registry-response-ncva-example

Profile: 腦中風－登錄表單回覆

\r\n\r\n\r\n\r\n\r\n
LinkIDTextDefinitionAnswer\"doco\"
\"\"\"\" stroke-registry-response-ncva-exampleQuestionnaire:腦中風登錄表單
\"\"\"\"\"\" stroke-registry-response-ncva-example / inpatientTreatment.tre09住院期間簽署 DNRfalse
\"\"\"\"\"\" stroke-registry-response-ncva-example / raw.ncva個管系統原始值
\"\"\"\"\"\"\"\" stroke-registry-response-ncva-example / raw.ncva / raw.ncva.hisnummark病歷號EX00000001
\"\"\"\"\"\"\"\" stroke-registry-response-ncva-example / raw.ncva / raw.ncva.cmseqno個管流水序號CM-EXAMPLE-0001

\"doco\" Documentation for this format
" }, "identifier" : { "system" : "http://www.vghks.gov.tw/stroke-case-management-serial", "value" : "CM-EXAMPLE-0001" }, "questionnaire" : "http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0", "status" : "in-progress", "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "_authored" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason", "valueCode" : "unknown" }] }, "item" : [{ "linkId" : "inpatientTreatment.tre09", "text" : "住院期間簽署 DNR", "answer" : [{ "valueBoolean" : false }] }, { "linkId" : "raw.ncva", "text" : "個管系統原始值", "item" : [{ "linkId" : "raw.ncva.hisnummark", "text" : "病歷號", "answer" : [{ "valueString" : "EX00000001" }] }, { "linkId" : "raw.ncva.cmseqno", "text" : "個管流水序號", "answer" : [{ "valueString" : "CM-EXAMPLE-0001" }] }] }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Provenance/stroke-provenance-example", "resource" : { "resourceType" : "Provenance", "id" : "stroke-provenance-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeProvenance"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Provenance stroke-provenance-example

Profile: 腦中風－資料來源追溯

Provenance for:

Summary

Occurrence2025-01-16 14:30:00+0800
Recorded2025-02-01 10:00:00+0800

Agents

Typewho
Enterer李小華
Author高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0\u00a0(use:\u00a0usual))

Entities

RoleWhat
Source腦中風登錄來源紀錄（範例） (Identifier: http://www.vghks.gov.tw/stroke-registry-record/EX-REC-0001)
" }, "target" : [{ "reference" : "Patient/stroke-patient-example" }, { "reference" : "Encounter/stroke-encounter-example" }, { "reference" : "Condition/stroke-condition-example" }], "occurredDateTime" : "2025-01-16T14:30:00+08:00", "recorded" : "2025-02-01T10:00:00+08:00", "agent" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type", "code" : "enterer", "display" : "Enterer" }] }, "who" : { "display" : "李小華" } }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type", "code" : "author", "display" : "Author" }] }, "who" : { "reference" : "Organization/stroke-organization-vghks" } }], "entity" : [{ "role" : "source", "what" : { "identifier" : { "system" : "http://www.vghks.gov.tw/stroke-registry-record", "value" : "EX-REC-0001" }, "display" : "腦中風登錄來源紀錄（範例）" } }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Condition/stroke-condition-example", "resource" : { "resourceType" : "Condition", "id" : "stroke-condition-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeCondition"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition stroke-condition-example

Profile: 腦中風－中風診斷

clinicalStatus: Active

category: Encounter Diagnosis

code: 腦梗塞

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active", "display" : "Active" }] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis", "display" : "Encounter Diagnosis" }] }], "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/sid/icd-10-cm", "code" : "I63.9", "display" : "Cerebral infarction, unspecified" }], "text" : "腦梗塞" }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-arrival-mode-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-arrival-mode-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeAdmissionContext"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-arrival-mode-example

Profile: 腦中風－就醫背景

腦中風－評估時點: admission

status: Final

category: Survey

code: 到院方式

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: 緊急醫療救護（EMS）

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "admission" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "arrival-mode", "display" : "到院方式" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/arrival-mode", "code" : "1", "display" : "緊急醫療救護（EMS）" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-patient-age-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-patient-age-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeAdmissionContext"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-patient-age-example

Profile: 腦中風－就醫背景

腦中風－評估時點: admission

status: Final

category: Survey

code: 病人年齡

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: 72 歲 (Details: UCUM codea = 'a')

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "admission" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "patient-age", "display" : "病人年齡" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueQuantity" : { "value" : 72, "unit" : "歲", "system" : "http://unitsofmeasure.org", "code" : "a" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-education-level-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-education-level-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeAdmissionContext"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-education-level-example

Profile: 腦中風－就醫背景

status: Final

category: Survey

code: 教育程度

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: 高中職

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "education-level", "display" : "教育程度" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/education-level", "code" : "EDU03", "display" : "高中職" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-onset-time-only-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-onset-time-only-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOnsetTime"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-onset-time-only-example

Profile: 腦中風－發病時間

status: Final

category: Survey

code: 中風發病時間

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

value: 腦中風－來源事件時間: 06:40:00

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "stroke-onset-time", "display" : "中風發病時間" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "_valueDateTime" : { "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only", "valueTime" : "06:40:00" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-hypertension-history-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-hypertension-history-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRiskFactor"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-hypertension-history-example

Profile: 腦中風－危險因子與病史

腦中風－評估時點: admission

status: Final

category: Survey

code: 高血壓病史

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: true

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "admission" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "hypertension-history", "display" : "高血壓病史" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueBoolean" : true } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-diabetes-history-unknown-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-diabetes-history-unknown-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRiskFactor"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-diabetes-history-unknown-example

Profile: 腦中風－危險因子與病史

status: Final

category: Survey

code: 糖尿病病史

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

dataAbsentReason: Unknown

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "diabetes-history", "display" : "糖尿病病史" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "dataAbsentReason" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code" : "unknown", "display" : "Unknown" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-family-history-stroke-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-family-history-stroke-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRiskFactor"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-family-history-stroke-example

Profile: 腦中風－危險因子與病史

status: Final

category: Survey

code: 中風或短暫性腦缺血家族史

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: false

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "family-history-stroke-or-tia", "display" : "中風或短暫性腦缺血家族史" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueBoolean" : false } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-cigarettes-per-day-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-cigarettes-per-day-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRiskFactor"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-cigarettes-per-day-example

Profile: 腦中風－危險因子與病史

status: Final

category: Survey

code: 每日吸菸量

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: 20 {cigarette}/d (Details: UCUM code{cigarette}/d = '{cigarette}/d')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "cigarettes-per-day", "display" : "每日吸菸量" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueQuantity" : { "value" : 20, "unit" : "{cigarette}/d", "system" : "http://unitsofmeasure.org", "code" : "{cigarette}/d" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-toast-classification-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-toast-classification-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeClinicalAssessment"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-toast-classification-example

Profile: 腦中風－中風分類評估

status: Final

category: Survey

code: TOAST 分類

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: 心因性栓塞

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "toast-classification", "display" : "TOAST 分類" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/toast-classification", "code" : "3", "display" : "心因性栓塞" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-ecg-atrial-fibrillation-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-ecg-atrial-fibrillation-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeClinicalAssessment"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-ecg-atrial-fibrillation-example

Profile: 腦中風－中風分類評估

status: Final

category: Survey

code: 心電圖心房顫動

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: true

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "ecg-atrial-fibrillation", "display" : "心電圖心房顫動" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueBoolean" : true } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-icu-admission-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-icu-admission-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeCareProcess"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-icu-admission-example

Profile: 腦中風－照護流程紀錄

status: Final

category: Survey

code: 入住加護病房

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: true

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "icu-admission", "display" : "入住加護病房" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueBoolean" : true } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-neurologic-deterioration-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-neurologic-deterioration-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeComplication"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-neurologic-deterioration-example

Profile: 腦中風－住院併發症與惡化

status: Final

category: Survey

code: 中風惡化（NIHSS 增加至少 2 分）

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

value: false

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "neurologic-deterioration-nihss-2-or-more", "display" : "中風惡化（NIHSS 增加至少 2 分）" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "valueBoolean" : false } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-nihss-admission-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-nihss-admission-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeNIHSS"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-nihss-admission-example

Profile: 腦中風－NIHSS 評估

腦中風－評估時點: admission

腦中風－評估序號: 1

status: Final

category: Survey

code: Total score [NIH Stroke Scale]

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 10:30:00+0800

value: 12

component

code: Level of consciousness [NIH Stroke Scale]

value: 0

component

code: LOC questions [NIH Stroke Scale]

value: 1

component

code: LOC commands [NIH Stroke Scale]

value: 0

component

code: Best gaze [NIH Stroke Scale]

value: 1

component

code: Visual [NIH Stroke Scale]

value: 0

component

code: Facial palsy [NIH Stroke Scale]

value: 2

component

code: Motor arm Left arm [NIH Stroke Scale]

value: 0

component

code: Motor arm Right arm [NIH Stroke Scale]

value: 3

component

code: Motor leg Leg - left [NIH Stroke Scale]

value: 0

component

code: Motor leg Leg - right [NIH Stroke Scale]

value: 2

component

code: Limb ataxia [NIH Stroke Scale]

value: 0

component

code: Sensory [NIH Stroke Scale]

value: 1

component

code: Best language [NIH Stroke Scale]

value: 1

component

code: Dysarthria [NIH Stroke Scale]

value: 1

component

code: Extinction and inattention [NIH Stroke Scale]

value: 0

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "admission" }, { "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-sequence", "valuePositiveInt" : 1 }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "72089-6", "display" : "Total score [NIH Stroke Scale]" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T10:30:00+08:00", "valueInteger" : 12, "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70184-7", "display" : "Level of consciousness [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70185-4", "display" : "LOC questions [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70186-2", "display" : "LOC commands [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70187-0", "display" : "Best gaze [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70188-8", "display" : "Visual [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70189-6", "display" : "Facial palsy [NIH Stroke Scale]" }] }, "valueInteger" : 2 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70190-4", "display" : "Motor arm Left arm [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70967-5", "display" : "Motor arm Right arm [NIH Stroke Scale]" }] }, "valueInteger" : 3 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70191-2", "display" : "Motor leg Leg - left [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70968-3", "display" : "Motor leg Leg - right [NIH Stroke Scale]" }] }, "valueInteger" : 2 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70192-0", "display" : "Limb ataxia [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70193-8", "display" : "Sensory [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70194-6", "display" : "Best language [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70195-3", "display" : "Dysarthria [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70196-1", "display" : "Extinction and inattention [NIH Stroke Scale]" }] }, "valueInteger" : 0 }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-nihss-24h-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-nihss-24h-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeNIHSS"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-nihss-24h-example

Profile: 腦中風－NIHSS 評估

腦中風－評估時點: 24h

status: Final

category: Survey

code: Total score [NIH Stroke Scale]

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-16 11:00:00+0800

value: 6

component

code: Level of consciousness [NIH Stroke Scale]

value: 0

component

code: LOC questions [NIH Stroke Scale]

value: 0

component

code: LOC commands [NIH Stroke Scale]

value: 0

component

code: Best gaze [NIH Stroke Scale]

value: 0

component

code: Visual [NIH Stroke Scale]

value: 0

component

code: Facial palsy [NIH Stroke Scale]

value: 1

component

code: Motor arm Left arm [NIH Stroke Scale]

value: 0

component

code: Motor arm Right arm [NIH Stroke Scale]

value: 2

component

code: Motor leg Leg - left [NIH Stroke Scale]

value: 0

component

code: Motor leg Leg - right [NIH Stroke Scale]

value: 1

component

code: Limb ataxia [NIH Stroke Scale]

value: 0

component

code: Sensory [NIH Stroke Scale]

value: 1

component

code: Best language [NIH Stroke Scale]

value: 1

component

code: Dysarthria [NIH Stroke Scale]

value: X

component

code: Extinction and inattention [NIH Stroke Scale]

value: 0

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "24h" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "72089-6", "display" : "Total score [NIH Stroke Scale]" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-16T11:00:00+08:00", "valueInteger" : 6, "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70184-7", "display" : "Level of consciousness [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70185-4", "display" : "LOC questions [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70186-2", "display" : "LOC commands [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70187-0", "display" : "Best gaze [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70188-8", "display" : "Visual [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70189-6", "display" : "Facial palsy [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70190-4", "display" : "Motor arm Left arm [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70967-5", "display" : "Motor arm Right arm [NIH Stroke Scale]" }] }, "valueInteger" : 2 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70191-2", "display" : "Motor leg Leg - left [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70968-3", "display" : "Motor leg Leg - right [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70192-0", "display" : "Limb ataxia [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70193-8", "display" : "Sensory [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70194-6", "display" : "Best language [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70195-3", "display" : "Dysarthria [NIH Stroke Scale]" }] }, "valueString" : "X" }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70196-1", "display" : "Extinction and inattention [NIH Stroke Scale]" }] }, "valueInteger" : 0 }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-mrs-discharge-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-mrs-discharge-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeMRS"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-mrs-discharge-example

Profile: 腦中風－mRS 評估

腦中風－評估時點: discharge

status: Final

category: Survey

code: Modified rankin scale

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-28

value: 3

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "discharge" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "75859-9", "display" : "Modified rankin scale" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-28", "valueInteger" : 3 } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-mrs-unclassified-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-mrs-unclassified-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeMRS"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-mrs-unclassified-example

Profile: 腦中風－mRS 評估

腦中風－評估時點: unclassified

腦中風－評估序號: 4

status: Final

category: Survey

code: Modified rankin scale

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

effective: 2025-04-20

value: 2

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "unclassified" }, { "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-sequence", "valuePositiveInt" : 4 }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "75859-9", "display" : "Modified rankin scale" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "effectiveDateTime" : "2025-04-20", "valueInteger" : 2 } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-gcs-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-gcs-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeGCS"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-gcs-example

Profile: 腦中風－昏迷指數

腦中風－評估時點: admission

status: Final

category: Survey

code: Glasgow coma score total

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 08:35:00+0800

component

code: Glasgow coma score eye opening

value: 3

component

code: Glasgow coma score verbal

value: 4

component

code: Glasgow coma score motor

value: 6

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "admission" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "9269-2", "display" : "Glasgow coma score total" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T08:35:00+08:00", "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "9267-6", "display" : "Glasgow coma score eye opening" }] }, "valueInteger" : 3 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "9270-0", "display" : "Glasgow coma score verbal" }] }, "valueInteger" : 4 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "9268-4", "display" : "Glasgow coma score motor" }] }, "valueInteger" : 6 }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-body-height-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-body-height-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeBodyHeight"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-body-height-example

Profile: 腦中風－身高

status: Final

category: Vital Signs

code: Body height

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 08:40:00+0800

value: 165.5 cm (Details: UCUM codecm = 'cm')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8302-2", "display" : "Body height" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T08:40:00+08:00", "valueQuantity" : { "value" : 165.5, "unit" : "cm", "system" : "http://unitsofmeasure.org", "code" : "cm" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-body-weight-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-body-weight-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeBodyWeight"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-body-weight-example

Profile: 腦中風－體重

status: Final

category: Vital Signs

code: Body weight

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 08:40:00+0800

value: 62.3 kg (Details: UCUM codekg = 'kg')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "29463-7", "display" : "Body weight" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T08:40:00+08:00", "valueQuantity" : { "value" : 62.3, "unit" : "kg", "system" : "http://unitsofmeasure.org", "code" : "kg" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-body-temperature-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-body-temperature-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeBodyTemperature"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-body-temperature-example

Profile: 腦中風－體溫

status: Final

category: Vital Signs

code: Body temperature

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 08:35:00+0800

value: 36.8 °C (Details: UCUM codeCel = 'Cel')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8310-5", "display" : "Body temperature" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T08:35:00+08:00", "valueQuantity" : { "value" : 36.8, "unit" : "°C", "system" : "http://unitsofmeasure.org", "code" : "Cel" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-heart-rate-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-heart-rate-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeHeartRate"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-heart-rate-example

Profile: 腦中風－心率

status: Final

category: Vital Signs

code: Heart rate

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 08:35:00+0800

value: 88 /min (Details: UCUM code/min = '/min')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8867-4", "display" : "Heart rate" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T08:35:00+08:00", "valueQuantity" : { "value" : 88, "unit" : "/min", "system" : "http://unitsofmeasure.org", "code" : "/min" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-respiratory-rate-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-respiratory-rate-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRespiratoryRate"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-respiratory-rate-example

Profile: 腦中風－呼吸速率

status: Final

category: Vital Signs

code: Respiratory rate

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 08:35:00+0800

value: 18 /min (Details: UCUM code/min = '/min')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "9279-1", "display" : "Respiratory rate" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T08:35:00+08:00", "valueQuantity" : { "value" : 18, "unit" : "/min", "system" : "http://unitsofmeasure.org", "code" : "/min" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-blood-pressure-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-blood-pressure-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeBloodPressure"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-blood-pressure-example

Profile: 腦中風－血壓

status: Final

category: Vital Signs

code: Blood pressure panel with all children optional

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 08:35:00+0800

component

code: Systolic blood pressure

value: 168 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Diastolic blood pressure

value: 95 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "85354-9", "display" : "Blood pressure panel with all children optional" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T08:35:00+08:00", "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8480-6", "display" : "Systolic blood pressure" }] }, "valueQuantity" : { "value" : 168, "unit" : "mmHg", "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]" } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8462-4", "display" : "Diastolic blood pressure" }] }, "valueQuantity" : { "value" : 95, "unit" : "mmHg", "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]" } }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-occupation-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-occupation-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOccupation"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-occupation-example

Profile: 腦中風－職業

status: Final

category: Social History

code: History of Occupation

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

value: 退休

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history", "display" : "Social History" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11341-5", "display" : "History of Occupation" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/occupation-category", "code" : "OCP09", "display" : "退休" }], "text" : "退休" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-smoking-status-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-smoking-status-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeSmokingStatus"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-smoking-status-example

Profile: 腦中風－吸菸狀態

status: Final

category: Social History

code: Tobacco smoking status

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: Ex-smoker

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history", "display" : "Social History" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "72166-2", "display" : "Tobacco smoking status" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "8517006", "display" : "Ex-smoker" }, { "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail", "code" : "2", "display" : "已戒菸（2 年或以下）" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-lab-hemoglobin-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-lab-hemoglobin-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeLaboratory"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-lab-hemoglobin-example

Profile: 腦中風－檢驗結果

status: Final

category: Laboratory

code: 血紅素（Hb）

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 09:50:00+0800

value: 13.2

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "hemoglobin", "display" : "血紅素（Hb）" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T09:50:00+08:00", "valueQuantity" : { "value" : 13.2 } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-lab-inr-not-available-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-lab-inr-not-available-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeLaboratory"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-lab-inr-not-available-example

Profile: 腦中風－檢驗結果

status: Final

category: Laboratory

code: 凝血酶原時間國際標準化比值（INR）

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 09:50:00+0800

dataAbsentReason: Unknown

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "pt-inr", "display" : "凝血酶原時間國際標準化比值（INR）" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T09:50:00+08:00", "dataAbsentReason" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code" : "unknown", "display" : "Unknown" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-reperfusion-time-only-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-reperfusion-time-only-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeProcedureResult"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-reperfusion-time-only-example

Profile: 腦中風－處置時點結果

status: Final

category: Procedure

code: 再灌流時間

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

value: 腦中風－來源事件時間: 11:50:00

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "procedure", "display" : "Procedure" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "reperfusion-time", "display" : "再灌流時間" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "_valueDateTime" : { "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only", "valueTime" : "11:50:00" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/MedicationStatement/stroke-medstatement-statin-pre-admission-example", "resource" : { "resourceType" : "MedicationStatement", "id" : "stroke-medstatement-statin-pre-admission-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeMedicationStatement"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: MedicationStatement stroke-medstatement-statin-pre-admission-example

Profile: 腦中風－用藥紀錄

腦中風－用藥紀錄時窗: pre-admission

status: Not Taken

medication: statin 類降血脂藥

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

context: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/medication-recording-context", "valueCode" : "pre-admission" }], "status" : "not-taken", "medicationCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication", "code" : "statin", "display" : "statin 類降血脂藥" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "context" : { "reference" : "Encounter/stroke-encounter-example" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/MedicationStatement/stroke-medstatement-aspirin-inpatient-example", "resource" : { "resourceType" : "MedicationStatement", "id" : "stroke-medstatement-aspirin-inpatient-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeMedicationStatement"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: MedicationStatement stroke-medstatement-aspirin-inpatient-example

Profile: 腦中風－用藥紀錄

腦中風－用藥紀錄時窗: inpatient

status: Unknown

medication: Aspirin

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

context: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

note:

來源記錄有使用

\n
" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/medication-recording-context", "valueCode" : "inpatient" }], "status" : "unknown", "medicationCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication", "code" : "aspirin", "display" : "Aspirin" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "context" : { "reference" : "Encounter/stroke-encounter-example" }, "note" : [{ "text" : "來源記錄有使用" }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/MedicationStatement/stroke-medstatement-apixaban-discharge-example", "resource" : { "resourceType" : "MedicationStatement", "id" : "stroke-medstatement-apixaban-discharge-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeMedicationStatement"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: MedicationStatement stroke-medstatement-apixaban-discharge-example

Profile: 腦中風－用藥紀錄

腦中風－用藥紀錄時窗: discharge

status: Unknown

medication: Apixaban

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

context: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

note:

來源記錄有使用

\n
" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/medication-recording-context", "valueCode" : "discharge" }], "status" : "unknown", "medicationCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication", "code" : "apixaban", "display" : "Apixaban" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "context" : { "reference" : "Encounter/stroke-encounter-example" }, "note" : [{ "text" : "來源記錄有使用" }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/MedicationAdministration/stroke-medadmin-ivtpa-example", "resource" : { "resourceType" : "MedicationAdministration", "id" : "stroke-medadmin-ivtpa-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeMedicationAdministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration stroke-medadmin-ivtpa-example

Profile: 腦中風－給藥紀錄

status: Completed

medication: IV-tPA

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

context: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 10:15:00+0800

Dosages

-TextDose
*45 mg45 mg (Details: UCUM codemg = 'mg')
" }, "status" : "completed", "medicationCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication", "code" : "iv-tpa-unspecified", "display" : "靜脈血栓溶解劑 IV-tPA（品項未明）" }], "text" : "IV-tPA" }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "context" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T10:15:00+08:00", "dosage" : { "text" : "45 mg", "dose" : { "value" : 45, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Procedure/stroke-procedure-evt-example", "resource" : { "resourceType" : "Procedure", "id" : "stroke-procedure-evt-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeProcedure"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Procedure stroke-procedure-evt-example

Profile: 腦中風－醫療處置

status: Completed

code: 動脈內血栓移除術

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

performed: 2025-01-15 11:00:00+0800 --> 2025-01-15 12:10:00+0800

" }, "status" : "completed", "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure", "code" : "evt", "display" : "動脈內血栓移除術（EVT）" }, { "system" : "http://snomed.info/sct", "code" : "439541007", "display" : "Percutaneous thrombectomy of cerebral artery using fluoroscopic guidance with contrast" }], "text" : "動脈內血栓移除術" }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "performedPeriod" : { "start" : "2025-01-15T11:00:00+08:00", "end" : "2025-01-15T12:10:00+08:00" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Procedure/stroke-procedure-dysphagia-screening-example", "resource" : { "resourceType" : "Procedure", "id" : "stroke-procedure-dysphagia-screening-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeProcedure"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Procedure stroke-procedure-dysphagia-screening-example

Profile: 腦中風－醫療處置

status: Completed

code: 吞嚥篩檢

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

" }, "status" : "completed", "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure", "code" : "dysphagia-screening", "display" : "吞嚥篩檢" }, { "system" : "http://snomed.info/sct", "code" : "431765005", "display" : "Screening for dysphagia" }], "text" : "吞嚥篩檢" }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Procedure/stroke-procedure-ventilation-not-done-example", "resource" : { "resourceType" : "Procedure", "id" : "stroke-procedure-ventilation-not-done-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeProcedure"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Procedure stroke-procedure-ventilation-not-done-example

Profile: 腦中風－醫療處置

status: Not Done

code: 使用呼吸器

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

" }, "status" : "not-done", "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure", "code" : "mechanical-ventilation", "display" : "使用呼吸器" }, { "system" : "http://snomed.info/sct", "code" : "40617009", "display" : "Artificial ventilation" }], "text" : "使用呼吸器" }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" } } }] }